Patient, caregiver and clinician use of comparative effectiveness research findings in care decisions: results from a national study
Patient, caregiver and clinician use of comparative effectiveness research findings in care decisions: results from a national study
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DOI：
10.2217/cer-2016-0061
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发表时间：
2017-05-01
影响因子：
2.1
通讯作者：
Fayish, Lauren
中科院分区：
文献类型：
--
作者：
Frank, Lori B.;Forsythe, Laura P.;Fayish, Lauren
目的：评估对比较有效性研究（CER）结果的认识、使用和态度。材料和方法：管理罕见疾病（n = 560例患者，n = 609名护理人员）或慢性疾病（n = 762例患者，n = 776名护理人员）的患者和护理人员以及执业临床医生（n = 638）的在线调查。结果：不到一半的患者和护理人员报告在过去12个月内暴露于任何类型的CER结果。其中，超过一半的人认为医疗保健专业人员是信息来源，但只有10%的临床医生表示他们“非常熟悉”CER。临床医生关注的是找到相关证据所需的时间以及在现有健康研究中进行比较的适当性。结论：临床医生，患者和护理人员表示将CER研究结果纳入临床决策的需求未得到满足。
Aim: To assess awareness, use and attitudes concerning comparative effectiveness research (CER) findings. Materials & methods: Online surveys of patients and caregivers managing rare (n = 560 patients, n = 609 caregivers) or chronic conditions (n = 762 patients, n = 776 caregivers), and practicing clinicians (n = 638). Results: Less than half of patients and caregivers reported exposure to any type of CER findings in the past 12 months. Of those, over half identify healthcare professionals as the information source, yet only 10% of clinicians indicated they were 'very familiar' with CER. Clinicians were concerned about the time required to find relevant evidence and the appropriateness of comparisons in available health research. Conclusion: Clinicians, patients and caregivers indicate unmet need for incorporating CER research findings into clinical decision-making.